Care Management Nurse Manager–RN Job in New Albany 43054, Ohio US


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We are a company built on excellence. We have a culture that values growth, achievement and diversity and a
workplace where your voice is heard.

Care Management Nurse Manager--RN

Job Description

Working At Aetna -- the Value To You 

What does it mean to work at Aetna?  A lot.  From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways.

Standard business hours M-F 8-5, however because the hours of operation for the dedicated unit extend to evenings and weekends, there is a potential to be on call during these times.

POSITION SUMMARY
The Manager is responsible for oversight/management of medical services staff including the organization and development of high performing teams. Responsible for the implementation of Aetna's medical management services policies and procedures. Communicates strategic plan and specific tactics to meet plan. Ensures implementation of tactics to meet strategic direction for case management/patient management cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Ensures regional consistency with national program strategic direction and design. Identifies opportunities to implement best practice approaches and introduce innovations to better address the member's needs across the continuum of care. Accountable for meeting the financial, operational and quality objectives of the unit.

EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Nursing/Certified Case Manager (CCM) is desired

FUNCTIONAL EXPERIENCES
Medical Management/Case Management/4-6 Years
Nursing/Concurrent Review/discharge planning/4-6 Years
Management/Multifunctional management: 25 employees/1-3 Years
Nursing/Precertification/4-6 Years
Nursing/Clinical coverage and insurance policies/4-6 Years

TECHNOLOGY EXPERIENCES
Aetna Applications/Aetna Strategic Desktop/1-3 Years
Aetna Applications/Aetna Total clinical View/1-3 Years
Desktop Tools/Microsoft Excel/1-3 Years
Desktop Tools/Microsoft Outlook/1-3 Years
Desktop Tools/Microsoft PowerPoint/1-3 Years

REQUIRED SKILLS
Service/Creating a Differentiated Service Experience
Leadership/Engaging and Developing People
Leadership/Creating a World Class Workforce

DESIRED SKILLS
Leadership/Driving a Culture of Compliance
Leadership/Collaborating for Results
Technology/Leveraging Technology

Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna does not permit the use of tobacco related products or drugs in the workplace.

How to apply
To learn more about this opportunity, visit us at www.aetna.com/working . Under requisition # select 7141BR and submit your resume.

We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with Aetna.
 
We conduct pre-employment drug and background testing.
Aetna does not permit the use of tobacco related products or drugs in the workplace.

Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.

No search firms please.

You will not be asked for personal information until you have been fully evaluated through Aetna's screening processes. Aetna will never ask applicants for money. If you want to verify the identity of someone who contacts you from Aetna, call 1-800-AETNAHR (1-800-238-6247).

Click Here To Apply

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